Request a Consultation for Marketplace (ACA) Plans

Need Help with Marketplace (ACA) Insurance?

Let a licensed insurance agent help you explore your Affordable Care Act (ACA) plan options—with clear answers and support.

By submitting this form, you authorize ANCO Insurance Agency and Andrew (Lance) Failla Jr. (NPN #21292968) to assist you in evaluating and enrolling in a Qualified Health Plan through the federal Marketplace.

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Consent Acknowledgment

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By checking this box, I confirm the following:

I give permission for Andrew (Lance) Failla Jr. to serve as my licensed agent for the purposes of:

Reviewing or updating my Marketplace application
Helping me apply for coverage and financial assistance
Providing enrollment support and ongoing maintenance
Contacting me regarding health insurance options

I understand this consent is valid until I revoke it, and that my personal information will be used solely to assist with ACA plan enrollment. I may revoke this consent at any time by contacting lance.failla@outlook.com.

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Request a Consultation for Marketplace (ACA) Plans

Need Help with Marketplace (ACA) Insurance?

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